POST CLASS ENT TEST

TOPIC---EAR

ENT BY RAJIVDHAWAN
 1. A congenitally deaf child with bilateral profound
SNHL on radiological evaluation of cochlea and brain
with MRI/CT scan has been found to having normal
eighth nerve on both sides. What is the best method
of hearing rehabilitation in this case.

a) Cochlear implant
b) Digital Hearing aid
c) Auditory brain stem implant
d) Bone anchored hearing aid
1. A congenitally deaf child with bilateral profound
SNHL on radiological evaluation of cochlea and brain
with MRI/CT scan has been found to be normal
eighth nerve on both sides. What is the best method
of hearing rehabilitation in this case.

a) Cochlear implant
b) Digital Hearing aid
c) Auditory brain stem implant
d) Bone anchored hearing aid
2. All are true about serous otitis media except

a) 10-40dB conductive hearing loss

b) Very painful condition
c) Grommet insertion is helpful in
its management
a) Flat tympanogram
 2. All are true about serous otitis media except

a) 10-40dB conductive hearing loss

b) Very painful condition
c) Grommet insertion is helpful in its management
d) Type B Tympanogram
3. What type of tympanogram would you be finding
in a case of Serous Otitis Media?

a) Type A curve
b) Type B Curve
c) Type C Curve
d) Type AD curve
3. What type of tympanogram would you be finding
in a case of Serous Otitis media?

a) Type A curve
b) Type B Curve
c) Type C Curve
d) Type AD curve
4. A patient of left atticoantral CSOM presents with
the history of headache, vomiting and convulsions.
His CT scan of brain has revealed left temporal lobe
abscess. What is the best surgical treatment of this
patient?

a) Urgent modified radical mastoidectomy

b) Urgent radical mastoidectomy
c) Neurosurgical treatment
d) Urgent petrosectomy
4. A patient of left atticoantral CSOM presents with
the history of headache, vomiting and convulsions.
His CT scan of brain has revealed left temporal lobe
abscess. What is the best surgical treatment of this
patient?

a) Urgent modified radical mastoidectomy

b) Urgent radical mastoidectomy
c) Neurosurgical treatment
d) Urgent petrosectomy
5. False regarding Bell’s palsy

a) Hyperacusis is seen in these cases

b) Forehead muscles are also involved
c) Oral Steroids are used
d) mostly bilateral
5. False regarding Bell’s palsy

a) Hyperacusis is seen in these cases

b) Forehead muscles are also involved
c) Oral Steroids are used
d) mostly bilateral
6. Use of Siegel's speculum during
examination of the ear provides all except:

a) Magnification
b) Assessment of movement of the tympanic
membrane
c) Removal of foreign body from the ear
d) As applicator for the powdered antibiotic
to ear
6. Use of Siegel's speculum during
examination of the ear provides all except:

a) Magnification
b) Assessment of movement of the tympanic
membrane
c) Removal of foreign body from the ear
d) As applicator for the powdered antibiotic
to ear
7. All are true about embryology of ear
development except

a) cochlea development completes by 20th week

b) pinna development completes by 20th week
c) Mastoid tip develops by 2years of age
d) there are 4 Hillocks of His which are
precursors of pinna
7. All are true about embryology of ear development
except

a) cochlea development completes by 20th week

b) pinna development completes by 20th week
c) Mastoid tip develops by 2years of age
d) there are 4 Hillocks of His which are precursors
of pinna
8. A child is born with deformed pinna. He has normal
helix but antihelix is not developed. What is the name
of this deformity?

a. Bat ear
b. Cauliflower ear
c. Tropical ear
d. Surfer ear
8. A child is born with deformed pinna. He
has normal helix but antihelix is not
developed. What is the name of this
deformity?

a. Bat ear
b. Cauliflower ear
c. Tropical ear
d. Surfer ear
9. A 75 year-old diabetic patient presents with severe
pain in the ear and facial palsy. Examination reveals
granulation tissue in external auditory canal. What is
the probable diagnosis?

a. Malignant otitis externa

b. Keratosis obturans
c. Squamous cell carcinoma ear canal
d. Exosteosis of External auditory canal
9. A 75 year-old diabetic patient presents with severe
pain in the ear and facial palsy. Examination reveals
granulation tissue in external auditory canal. What is
the probable diagnosis?

a. Malignant otitis externa

b. Keratosis obturans
c. Squamous cell carcinoma ear canal
d. Exosteosis of External auditory canal
10. Which is the correct site of implantation of brain
stem implantation

a. Lateral recess of fourth ventricle

b. Midbrain
c. Lateral aspect of cerebellum
d. Superior temporal gyrus
10. Which is the correct site of implantation of brain
stem implantation

a. Lateral recess of fourth ventricle

b. Midbrain
c. Lateral aspect of cerebellum
d. Superior temporal gyrus
11. The most common site of origin of Acoustic
neuroma is

a. Superior vestibular division of 8th nerve

b. Inferior vestibular division of 8th nerve
c. Cochlear nerve
d. Facial nerve
11. The most common site of origin of Acoustic
neuroma is

a. Superior vestibular division of 8th nerve

b. Inferior vestibular division of 8th nerve
c. Cochlear nerve
d. Facial nerve
12. Which of the following is not true about Eustachian
tube?

a. Medial 24 mm is cartilaginous and lateral 12 mm is

bony
b. Its angled at 45 degrees with horizontal at birth
c. The opening of Eustachian tube lies 1.25 cm behind
the posterior end of inferior turbinate in the
nasopharynx
d. Tensor palati is the main muscle to open the
Eustachian tube
12. Which of the following is not true about Eustachian
tube?

a. Medial 24 mm is cartilaginous and lateral 12 mm is

bony
b. Its angled at 45 degrees with horizontal at birth
c. The opening of Eustachian tube lies 1.25 cm behind
the posterior end of inferior turbinate in the
nasopharynx
d. Tensor palati is the main muscle to open the
Eustachian tube
13. Wet Newspaper’ like appearance in external
auditory canal is a feature of

a. Localised otitis externa

b. Otomycosis
c. Exosteosis
d. Diffuse otitis externa
13. Wet Newspaper’ like appearance in external
auditory canal is a feature of

a. Localised otitis externa

b. Otomycosis
c. Exosteosis
d. Diffuse otitis externa
14. A patient of right unsafe CSOM has presented
with history of diplopia and pain behind the right eye.
What is the name of this entity?

a. Gradinego Syndrome
b. Malignant Otitis externa
c. Lateral sinus thrombosis
d. Trotter’s Triad
14. A patient of right unsafe CSOM has presented
with history of diplopia and pain behind the right eye.
What is the name of this entity?

a. Gradinego Syndrome
b. Malignant Otitis externa
c. Lateral sinus thrombosis
d. Trotter’s Triad
15. What is Cupula in inner ear?

a. Sensory end organ of Utricle and saccule

b. Sensory end organ of semicircular canals
c. gelatinous layer around Macula
d. gelatinous layer around Crista
15. What is Cupula in inner ear?

a. Sensory end organ of Utricle and saccule

b. Sensory end organ of semicircular canals
c. gelatinous layer around Macula
d. gelatinous layer around Crista
16. Which membrane separates Scala Vestibuli and
Scala Media?

a. Basilar membrane
b. Reissner’s membrane
c. Tectorial membrane
d. Sharpnell’s membrane
16. Which membrane separates Scala Vestibuli and
Scala Media?

a. Basilar membrane
b. Reissner’s membrane
c. Tectorial membrane
d. Sharpnell’s membrane
17. One of the following is a feature of meniere’s
disease

a. Presbyacusis
b. Paracusis
c. Diplacusis
d. Hyperacusis
17. One of the following is a feature of meniere’s
disease

a. Presbyacusis
b. Paracusis
c. Diplacusis
d. Hyperacusis
18. What is Bill’s bar?

a. A landmark for Mastoid Antrum

b. A landmark for endolymphatic sac
c. A Vertical bony septum in Internal Auditory meatus
d. A horizontal crest on medial wall of middle ear
18. What is Bill’s bar?

a. A landmark for Mastoid Antrum

b. A landmark for endolymphatic sac
c. A Vertical bony septum in Internal Auditory meatus
d. A horizontal crest on medial wall of middle ear
19. Which tuning fork test is specifically used to
diagnose otosclerosis?

a. Stenger test
b. Schwbach test
c. Gelle’s test
d. Rinne test
19. Which tuning fork test is specifically used to
diagnose otosclerosis?

a. Stenger test
b. Schwbach test
c. Gelle’s test
d. Rinne test
20. A case of Bell’s palsy: no improvement after 3 weeks: What
to do next?

a) Facial nerve decompression

b) continue with same dose of steroids
c) Increase dose of steroids
d) Electrophysiological nerve study
20. A case of Bell’s palsy: no improvement after 3 weeks: What
to do next?

a) Facial nerve decompression

b) continue with same dose of steroids
c) Increase dose of steroids
d) Electrophysiological nerve study
21. Treatment of choice in a c/o Otosclerosis with
positive Schwartze's sign :

a) Stapedectomy
b) Fenestration
c) Hearing Aid
d) Sodium Flouride
21. Treatment of choice in a c/o Otosclerosis with
positive Schwartze's sign :

a) Stapedectomy
b) Fenestration
c) Hearing Aid
d) Sodium Flouride
22. Hennebert's sign is seen in

a. Congenital syphillis
b. Stapedectomy
c. Meniere's disease
d. Cholesteatoma
22. Hennebert's sign is seen in

a. Congenital syphillis
b. Stapedectomy
c. Meniere's disease
d. Cholesteatoma
23. Rinne test is negative in all except

a. Wax occlusion of canal

b. Chronic suppurative otitis media
c. Otosclerosis
d. Meniere’s disease
23. Rinne test is negative in all except

a. Wax occlusion of canal

b. Chronic suppurative otitis media
c. Otosclerosis
d. Meniere’s disease
24. Which of the following is not applicable to
Otosclerosis?

a. Dip at 2000 Hz in Bone conduction curve

b. Worsening of hearing loss during pregnancy
c. Schwartz sign in early stage of disease
d. Diplacusis
24. Which of the following is not applicable to
Otosclerosis?

a. Dip at 2000 Hz in Bone conduction curve

b. Worsening of hearing loss during pregnancy
c. Schwartz sign in early stage of disease
d. Diplacusis
25. The posterosuperior retraction pocket, if allowed
to progress, will lead to:
(a) Primary acquired cholesteatoma
(b) Secondary acquired cholesteatoma
(c) Tympanosclerosis
(d) Congenital Cholestatoma
25. The posterosuperior retraction pocket, if allowed
to progress, will lead to:
(a) Primary aqcuired cholesteatoma
(b) Secondary acquired cholesteatoma
(c) Tympanosclerosis
(d) Congenital Cholestatoma
26. Which of the following is applicable to Carhart’s
notch seen in Otosclerosis?

a. Dip at 2000 Hz in Bone conduction

b. Dip at 200HZ in Air conduction
c Dip at 4000Hz in Air conduction
d. Dip at 40000 Hz in Bone Conduction
26. Which of the following is applicable to Carhart’s
notch seen in Otosclerosis?

a. Dip at 2000 Hz in Bone conduction

b. Dip at 200HZ in Air conduction
c Dip at 4000Hz in Air conduction
d. Dip at 40000 Hz in Bone Conduction
27. All of the following are true about cochlear
implant except

a. Ideal age of implantation is 1 year

b. Eighth nerve integrity should be established
before cochlear implantation
c. cochlear implant electrode is placed in scala
tympani
d. the electrode is placed through oval window
27. All of the following are true about cochlear
implant except

a. Ideal age of implantation is 1 year

b. Eighth nerve integrity should be established
before cochlear implantation
c. cochlear implant electrode is placed in scala
tympani
d. the electrode is placed through oval window
28. Identify the audiological investigation whose
recordings are shown in the given picture

a. Cortical evoked response

audiometry
b. Brainstem evoked response
audiometry
c. Transient evoked
otoacoustic emissions
d. Otoacoustic emissions
28. Identify the audiological investigation whose
recordings are shown in the given picture

a. Cortical evoked response

audiometry
b. Brainstem evoked response
audiometry
c. Transient evoked
otoacoustic emissions
d. Otoacoustic emissions
29. Electrocochleography is used to diagnose which
clinical entity –

a. Ototoxicity
b. Otosclerosis
c. Non-organic hearing loss
d. Meniere’s disease
29. Electrocochleography is used to diagnose which
clinical entity –

a. Ototoxicity
b. Otosclerosis
c. Non-organic hearing loss
d. Meniere’s disease
30. Which type of audiogram is seen in early stage of
Meniere’s disease

a. Sloping Audiogram
b. Rising audiogram
c. Dip at 4000Hz in AC BC
d. Dip at 2000 Hz in BC
30. Which type of audiogram is seen in early stage of
Meniere’s disease

a. Sloping Audiogram
b. Rising audiogram
c. Dip at 4000Hz in AC BC
d. Dip at 2000 Hz in BC
31. The surgical landmark for Mastoid antrum during
mastoid surgery is

a. Donaldson’s line

b. MacEwen’s triangle

c. Trautmann’s triangle

d. Korner septum
31. The surgical landmark for Mastoid antrum during
mastoid surgery is

a. Donaldson’s line

b. MacEwen’s triangle

c. Trautmann’s triangle

d. Korner septum
32. Otoliths are concerned with which function of
inner ear?

a. Sound Conduction

b. Angular Balance

c. Linear balance

d. Sound Amplification
32. Otoliths are concerned with which function of
inner ear?

a. Sound Conduction

b. Angular Balance

c. Linear balance

d. Sound Amplification
33. Which statement is not true about benign
paroxysmal positional vertigo (BPPV) ?

a. Dix Hallpike’s maneuver is diagnostic test

b. Otoconia migrate to posterior semicircular canal

c. There is hearing loss in this condition

• Epley’s maneuver is therapeutic maneuver
33. Which statement is not true about benign
paroxysmal positional vertigo (BPPV) ?

a. Dix Hallpike’s maneuver is diagnostic test

b. Otoconia migrate to posterior semicircular canal

c. There is hearing loss in this condition

• Epley’s maneuver is therapeutic maneuver
34. Not a clinical feature of Meniere’s disease

a. Recruitment

b. Tullio’s phenomenon

c. ParacusisWillisi
d. Diplacusuis
34. Not a clinical feature of Meniere’s disease

a. Recruitment

b. Tullio’s phenomenon

c. ParacusisWillisi
d. Diplacusuis
35. A 43 year old male patient is suffering from recurrent epiosdes
of vertigo , hearing loss and Tinnitus for last 3 years. The episode has
nausea vomiting along with vertigo. The episode settles in few hours
only. What is the possible diagnosis?

a. benign Paroxysmal positional vertigo

b. Meniere’s disease

c. Acoustic neuroma

d. viral Labyrinthitis
35. A 43 year old male patient is suffering from recurrent epiosdes
of vertigo , hearing loss and Tinnitus for last 3 years. The episode has
nausea vomiting along with vertigo. The episode settles in few hours
only. What is the possible diagnosis?

a. benign Paroxysmal positional vertigo

b. Meniere’s disease

c. Acoustic neuroma

d. viral Labyrinthitis
36. Which ossicle has least blood supply?

a. Handle of Malleus
b. Foot plate of Stapes
c. Long process of Incus
• Head of Malleus
36. Which ossicle has least blood supply?

a. Handle of Malleus
b. Foot plate of Stapes
c. Long process of Incus
• Head of Malleus
37. Putsatile Tinnitus with bleeding polypoidal red mass in
external auditory canal of a female patient is typically seen in :

a) Glomus Jugulare

b) Acoustic Neuroma

c) Meniere’s disease

d) Tympanosclerosis
37. Putsatile Tinnitus with bleeding polypoidal red mass in
external auditory canal of a female patient is typically seen in :

a) Glomus Jugulare

b) Acoustic Neuroma

c) Meniere’s disease

d) Tympanosclerosis
38. Rising sun sign is a classical finding seen in

a. Acoustic Neuroma
b. Meniere’s Disease
c. Glomus Jugulare
d. Otosclerosis
38. Rising sun sign is a classical finding seen in

a. Acoustic Neuroma
b. Meniere’s Disease
c. Glomus Jugulare
d. Otosclerosis
39. A 20yrs old Male present with unilateral foul smelling
ear discharge develops spiky fever and has positive
Griessenger sign. The clinical diagnosis is :

a) Cavernous Sinus Thrombosis

b) Sigmoid Sinus Thrombosis

c) Sagittal Sinus thrombosis

d) Brain Abscess
39. A 20yrs old Male present with unilateral foul smelling
ear discharge develops spiky fever and has positive
Griessenger sign. The clinical diagnosis is :

a) Cavernous Sinus Thrombosis

b) Sigmoid Sinus Thrombosis

c) Sagittal Sinus thrombosis

d) Brain Abscess
40. Ductus Reniens connects which two structures of inner ear?

a. Cochlea and Utrice

b. Cochlea and saccule

c. Utricle and saccule

d. Utricle and semicircular canals

40. Ductus Reniens connects which two structures of inner ear?

a. Cochlea and Utrice

b. Cochlea and saccule

c. Utricle and saccule

d. Utricle and semicircular canals

41. All are features of Acoustic Neuroma except

a. Absent corneal reflex is early sign

b. Roll over phenomenon
c. Rising sun sign
d. Hitzelberger sign
41. All are features of Acoustic Neuroma except

a. Absent corneal reflex is early sign

b. Roll over phenomenon
c. Rising sun sign
d. Hitzelberger sign
42. A 30 year old lady has bilateral hearing loss since 4
years which worsened during pregnancy. Type of
impedence audiometry curve will be :

a) Ad
b) As
c) B
d) C
42. A 30 year old lady has bilateral hearing loss since 4
years which worsened during pregnancy. Type of
impedence audiometry curve will be :

a) Ad
b) As
c) B
d) C
43. Which of the following is not a typical feature of
Meniere's disease?

(a) hearing loss

(b) Pulsatile tinnitus
(c) Vertigo
(d) nausea, vomiting
43. Which of the following is not a typical feature of
Meniere's disease?

(a) hearing loss

(b) Pulsatile tinnitus
(c) Vertigo
(d) nausea, vomiting
44. The caloric test done right side with warm water
will produce nystagmus towards

a) right side

b) no nystagmus

c) Left side

d) both sides
44. The caloric test done right side with warm water
will produce nystagmus towards

a) right side

b) no nystagmus

c) Left side

d) both sides
45. While syringing for the ear wax, the cold water
should not be used . What is the appropriate reason
for this ?

a. it may lead to perforation of tympanic membrane

b. it may lead to vertigo
c. it may lead to infection of external auditory canal.
d. it may make the wax hard and difficult to remove.
45. While syringing for the ear wax, the cold water
should not be used . What is the appropriate reason
for this ?

a. it may lead to perforation of tympanic membrane

b. it may lead to vertigo
c. it may lead to infection of external auditory canal.
d. it may make the wax hard and difficult to remove.